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August 8, 1977

Pseudotumor Acute Gastric Ulcer in a Child

JAMA. 1977;238(6):512-513. doi:10.1001/jama.1977.03280060056024

ACUTE gastric ulcer in children is often associated with burns, cerebral disease, stress of different origins, and steroid therapy. Chronic gastric ulcer occurs rarely in childhood.1-3 The ratio of gastric to duodenal ulcer is about 1:7 in children and adolescents, as compared with 1:3 in adults.4 Most gastric ulcers in children are located in the pyloric region.

The roentgenographic features of the ulcer niche—the Hampton line, the ulcer collar, and the ulcer mound— are well known. The inflammatory exudate and edema surrounding a benign gastric ulcer may prevent the niche from projecting beyond the contour of the stomach, thereby simulating an ulcerated gastric neoplasm. The following represents such a case.

Report of a Case  A 2 1/2-year-old girl was admitted to Children's Hospital Medical Center with hematemesis. The child had fallen off a coffee table two days prior to admission, and following this episode she complained of abdominal